TRI-STATE WOMEN'S HEALTH CENTER
NPI 1467401372
Clinic/Center - Federally Qualified Health Center (FQHC) in Cumberland, MD

Active since May 08, 2006CLIA 21D1047001 · Microscopy
12502 WILLOWBROOK ROAD, STE 550, 5TH FLR., CUMBERLAND, MD 21502(301) 723-3940(301) 723-3941 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri-state Women's Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE WOMEN'S HEALTH CENTER (NPI 1467401372) is a healthcare organization registered as a federally qualified health center (fqhc) in Cumberland, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through October 24, 2027 and lists Sheila J Deshong, Cheif Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1467401372
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-STATE COMMUNITY HEALTH CENTER, INC
Location Address12502 WILLOWBROOK ROAD, STE 550, 5TH FLR.Cumberland, MD 21502-6393
Mailing Address109 Rayloc DrHancock, MD 21750-1518 · (301) 678-5187 · Fax (301) 678-5797
Fax(301) 723-3941
Organization SubpartNo
Authorized OfficialSheila J DeshongCheif Operating Officer · (301) 678-5187
Enumeration DateMay 8, 2006
Last NPPES UpdateMay 6, 2010
NPI 1467401372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
12502 WILLOWBROOK ROAD, Cumberland, MD 21502

Other Names 1

Doing Business AsTri-state Women's Health Center

Other Identifiers 3

Medicare ID-Type UnspecifiedS865MD
Medicare PINS865MD
Medicare ID-Type Unspecified211849Fqhc

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D1047001

Tri-State Community Health Center · Cumberland, MD
Active · expires Oct 24, 2027
CLIA Number21D1047001
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorDr. Surendranath Ekanayake
Laboratory Phone(301) 723-3940
Laboratory LocationTri-State Community Health Center12502 Willowbrook Road Ste 550, Cumberland, MD 21502
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
12502 WILLOWBROOK ROAD, SUITE 380
CUMBERLAND, MD 21502
Specialist
12502 WILLOWBROOK ROAD, SUITE 420
CUMBERLAND, MD 21502
Internal Medicine (Cardiovascular Disease)
12502 WILLOWBROOK ROAD, SUITE 640
CUMBERLAND, MD 21502
Internal Medicine (Cardiovascular Disease)
12502 WILLOWBROOK ROAD, SUITE 420
CUMBERLAND, MD 21502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-State Community Health Center, Inc's NPI number?

The NPI number for Tri-State Community Health Center, Inc is 1467401372. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Tri-State Women's Health Center.

Where is Tri-State Community Health Center, Inc located?

Tri-State Community Health Center, Inc is located at 12502 Willowbrook Road Ste 550, 5th Flr., Cumberland, MD 21502. The listed phone number is (301) 723-3940.

What is Tri-State Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Tri-State Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D1047001) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-State Community Health Center, Inc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Tri-State Community Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-State Community Health Center, Inc was last updated on May 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.